Pneumaturia is the passage of gas or 'air' in urine. This may be seen or described as 'bubbles in the urine'. Pneumaturia is the passage of gas or 'air' in urine. This may be seen or described as 'bubbles in the urine'. A common cause of pneumaturia is colovesical fistula (communication between the colon and bladder). These may occur as a complication of diverticular disease.